Individual
JANA IKEDA HAMMERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-7709
Mailing address
12612 NE 166TH CT, WOODINVILLE, WA 98072-7926
(425) 481-6021
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 00000287
WA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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